Jeonghun Lee, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS044378 Issued in PA

Practice address

1 W Woodland Ave
Springfield, PA 19064-2325

Phone

(610) 543-5673

NPI assigned

Aug 14, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elite Dental LLC

  • General Practice Dentistry
  • Darby, PA
  • NPI 1013393628
  NPD (past)
• Springfield Dental Associates, LLC

  dba Simply Beautiful Smiles

  • Dentist
  • Springfield, PA
  • NPI 1295261709
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1013790138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 S BRYN MAWR AVE APT H43",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190104236",
            "telephone_number": "267-738-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W WOODLAND AVE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642325",
            "telephone_number": "610-543-5673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 MacDade Blvd Ste G",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190231814",
            "country_code": "US",
            "telephone_number": "610-583-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JEONGHUN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02992900",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS044378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Landrian, LCSW
• Maria Victoria Largoza, MD
• Amanda Latshaw
• Janet K. Laverty, LCSW
• Lee Dental Associates, LTD.
• Jonathan Lee, MD
• William C Lee Jr., DMD
• Gregory Mark Lehman, DO
• Janis Lehrer
• Michael Peter Lembotesis, PA-C

• General Practice Dentistry in Springfield, PA
• Providers in Springfield, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.